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Nursing students' confidence in clinical competency and job readiness during the COVID-19 pandemic era (코로나19 팬데믹 상황에서 간호대학생의 임상수행능력 자신감과 취업준비도)

  • Bang, Kyung-Sook;Kang, Jeong Hee;Nam, Eun Sook;Hyun, Mi Yeul;Suh, Eunyoung;Chae, Sun-Mi;Choi, Heeseung;Shin, Da-Ae
    • The Journal of Korean Academic Society of Nursing Education
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    • v.27 no.4
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    • pp.402-411
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    • 2021
  • Purpose: This study explored nursing students' experiences of attending clinical practicum courses in 2020 during the COVID-19 pandemic era, focusing on their confidence in clinical competency and job readiness. Methods: The data for this study were collected using online questionnaires that were uploaded to a free online survey website and distributed via a link to the survey to 334 nursing students attending four-year nursing colleges at four national universities. Data analysis was done with descriptive statistics, independent t-tests, and ANOVA. Results: The participants were mostly female (83.2%) college seniors (78.1%). About 60% of the participants practiced between 40% to 100% of their clinical practicum hours in alternative ways. Almost a third of the participants reported that they were not ready for a job (30.2%). However, participants' confidence in clinical competency and job readiness was not related to the rate of alternative practice, but rather to both achievement of educational outcomes and satisfaction in the nursing practicum. Conclusion: Due to COVID-19, it is evident that effective and efficient materials and ways of delivering clinical courses are constantly to be sought and developed. In particular, recently graduated nurses who experienced abrupt and considerable alterations in their clinical practicum courses due to COVID-19 are in need of attention while they strive to make clinical adaptations.

Current Status of the Implementation of Convergence Education in Primary and Secondary Schools (초·중등학교의 융합교육 운영 현황 실태조사)

  • Kwon, Hyuksoo;Kim, Eojin;Park, Hyun Ju;Bae, Youngkwon;Lee, Dongkuk;Lee, Hyungdong;Lee, Hyonyoung;Choi, Sung-Youn;Ham, Hyung-In
    • Journal of Science Education
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    • v.45 no.3
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    • pp.336-348
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    • 2021
  • The goal of this study is to investigate the current status of implementation of convergence education in elementary, middle, and high schools. A survey was conducted on 871 in-service teachers nationwide, and frequency analysis was conducted by school level. Key findings are as follows: first, 449 (51.5%) are found to practice convergence education. Second, the reason for implementing convergence education is the voluntary effort of teachers and the educational necessity for the future society. Third, it was found that convergence education is being implemented centered on science, arts, and social studies as a link between subjects in regular curriculum hours. Fourth, 270 (64%) of teachers who implemented convergence education in response to COVID-19 performed online convergence education, and experienced difficulties in creating class materials and communicating with students. Fifth, the excessive work of teachers, insufficient support for teacher training and research group activities, and lack of various convergence education programs are suggested as reasons for not implementing convergence education. This study hopes to provide implications for policy and implementation for revitalizing convergence education.

Safety and efficacy of target controlled infusion administration of propofol and remifentanil for moderate sedation in non-hospital dental practice

  • Douglas Lobb;Masoud MiriMoghaddam;Don Macalister;David Chrisp;Graham Shaw;Hollis Lai
    • Journal of Dental Anesthesia and Pain Medicine
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    • v.23 no.1
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    • pp.19-28
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    • 2023
  • Background: Fearful and anxious patients who find dental treatment intolerable without sedative and analgesic support may benefit from moderate sedation. Target controlled infusion (TCI) pumps are superior to bolus injection in maintaining low plasma and effect-site concentration variability, resulting in stable, steady-state drug concentrations. We evaluated the safety and efficacy of moderate sedation with remifentanil and propofol using TCI pumps in non-hospital dental settings. Methods: A prospective chart review was conducted on 101 patients sedated with propofol and remifentanil using TCI pumps. The charts were completed at two oral surgeons and one general dentist's office over 6 months. Hypoxia, hypotension, bradycardia, and over-sedation were considered adverse events and were collected using Tracking and Reporting Outcomes of Procedural Sedation (TROOPS). Furthermore, patient recovery time, sedation length, drug dose, and patient satisfaction questionnaires were used to measure sedation effectiveness. Results: Of the 101 reviewed sedation charts, 54 were of men, and 47 were of women. The mean age of the patients was 40.5 ±18.7 years, and their mean BMI was 25.6 ± 4.4. The patients did not experience hypoxia, bradycardia, and hypotension during the 4694 min of sedation. The average minimum Mean Arterial Pressure (MAP) and heartbeats were 75.1 mmHg and 60.4 bpm, respectively. 98% of patients agreed that the sedation technique met their needs in reducing their anxiety, and 99% agreed that they were satisfied with the sedation 24 hours later. The average sedation time was 46.9 ± 55.6 min, and the average recovery time was 12.4 ± 4.4 min. Remifentanil and propofol had mean initial effect-site concentration doses of 0.96 µ/.ml and 1.0 ng/ml respectively. The overall total amount of drug administered was significantly higher in longer sedation procedures compared to shorter ones, while the infusion rate decreased as the procedural stimulus decreased. Conclusion: According to the results of this study, no patients experienced adverse events during sedation, and all patients were kept at a moderate sedation level for a wide range of sedation times and differing procedures. The results showed that TCI pumps are safe and effective for administering propofol and remifentanil for moderate sedation in dentistry.

The effects of group coaching program based on self-affirmation theory to improve undergraduate students' career exploration (진로탐색행동 개선을 위한 자기가치확인 기반 그룹코칭 프로그램 개발 및 효과성 검증)

  • Young-Mi Kwon;Myeon Soo Kim;Joung-Soon Ryong
    • The Korean Journal of Coaching Psychology
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    • v.7 no.2
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    • pp.21-46
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    • 2023
  • The current study aimed to develop and evaluate the effectiveness of a group coaching program to improve college students' career exploration behaviors based on the self-affirmation theory. Participants were undergraduate students at a University in Seoul and volunteered in the program during the break. The group coaching program was conducted twice a week during three weeks, a total of six times, and each session lasted 2 to 2.5 hours. In this study, the effect of self-affirmation embedded in the group coaching program on various psychological variables and college students' career exploration behaviors were examined. A mixed-randomized analysis was conducted to compare the pre, post, and follow-up tests of the experimental, comparison, and no-treatment control groups, each consisting of 18 participants. The results showed that participants in the experimental group coaching condition showed more significant improvements in psychological resources, career self-efficacy, openness, problem-focused coping, and career exploration behaviors compared to the comparison and control groups, and these results were maintained even after the program ended. The implications of this study for coaching theory and practice, as well as limitations and future research directions, were discussed.

A Study on Water-level Rise Behavior Curve using Historical Record (기왕자료를 이용한 수위상승거동곡선에 관한 연구)

  • Kwak, Jaewon;Kim, Gilho
    • KSCE Journal of Civil and Environmental Engineering Research
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    • v.43 no.5
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    • pp.601-610
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    • 2023
  • The comprehension of water-level behavior in rivers is essential for effective flood and river environmental management. The objective of this study is to propose a methodology that can be used by field engineers engaged in actual practice, to readily identify the characteristics of water-level behavior during flood events. To this end, a total of 45 historical water-level records from 2010 to 2022 year, which provide flood information for the flood vulnerable districts of the Han River, were obtained. A Water-level Rise Behavior Curve (WRBC) was developed and suggested to quantify the amount of water-level rise per unit time during flood. As a result, the water-level rises by more than 80% of the total rise within the first 6.2 hours, followed by a gradual rise. The time required to achieve a particular equilibrium varied depending on the area and runoff characteristics of the upstream. Furthermore, the study revealed that the WRBC provides a statistical representation of the water-level rise trend during floods, and can be effectively utilized for flood mitigation measures in waterfront spaces and irrigation facilities.

Development of Detailed Design Automation Technology for AI-based Exterior Wall Panels and its Backframes

  • Kim, HaYoung;Yi, June-Seong
    • International conference on construction engineering and project management
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    • 2022.06a
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    • pp.1249-1249
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    • 2022
  • The facade, an exterior material of a building, is one of the crucial factors that determine its morphological identity and its functional levels, such as energy performance, earthquake and fire resistance. However, regardless of the type of exterior materials, huge property and human casualties are continuing due to frequent exterior materials dropout accidents. The quality of the building envelope depends on the detailed design and is closely related to the back frames that support the exterior material. Detailed design means the creation of a shop drawing, which is the stage of developing the basic design to a level where construction is possible by specifying the exact necessary details. However, due to chronic problems in the construction industry, such as reducing working hours and the lack of design personnel, detailed design is not being appropriately implemented. Considering these characteristics, it is necessary to develop the detailed design process of exterior materials and works based on the domain-expert knowledge of the construction industry using artificial intelligence (AI). Therefore, this study aims to establish a detailed design automation algorithm for AI-based condition-responsive exterior wall panels and their back frames. The scope of the study is limited to "detailed design" performed based on the working drawings during the exterior work process and "stone panels" among exterior materials. First, working-level data on stone works is collected to analyze the existing detailed design process. After that, design parameters are derived by analyzing factors that affect the design of the building's exterior wall and back frames, such as structure, floor height, wind load, lift limit, and transportation elements. The relational expression between the derived parameters is derived, and it is algorithmized to implement a rule-based AI design. These algorithms can be applied to detailed designs based on 3D BIM to automatically calculate quantity and unit price. The next goal is to derive the iterative elements that occur in the process and implement a robotic process automation (RPA)-based system to link the entire "Detailed design-Quality calculation-Order process." This study is significant because it expands the design automation research, which has been rather limited to basic and implemented design, to the detailed design area at the beginning of the construction execution and increases the productivity by using AI. In addition, it can help fundamentally improve the working environment of the construction industry through the development of direct and applicable technologies to practice.

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The Effect of Flipped Learning in Health and Physical Assessment Practice Classes on Academic Self-efficacy, Achievement Goal, Cognitive Engagement of Nursing Students (건강사정실습 수업에서의 플립러닝이 간호대학생의 학업적 자기효능감, 성취목표, 인지적 관여에 미치는 영향)

  • Mihye Lim;Taehui Kim
    • Journal of Industrial Convergence
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    • v.21 no.3
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    • pp.107-115
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    • 2023
  • This study was conducted to test the effect of flipped learning on academic self-efficacy, achievement goal, cognitive engagement of nursing students. This study used a one group pre-post test design. Participants were 91 students who were taking the health and physical assessment in nursing. The flipped learning was provided for 5 times (10 hours). The data of 91 people who agreed to the study and responded to the pre and post questionnaires were analyzed. Data were collected between September 26 and November 25, 2022. Data were analyzed by frequencies, paired t-test using SPSS WIN 24.0. The results showed that self-efficacy of learning(t=-5.445, p<.001), and cognitive engagement(t=-2.120, p=.035) increased significantly. As a result of the study, it was proved that flipped learning is effective for self-efficacy of learning and cognitive engagement. But it is necessary to conduct repeated studies due to limitations in research design, and to explore ways to utilize various teaching-learning strategies to improve the learning ability and clinical performance of nursing students.

Development of future education programs through edutech utilization programs (에듀테크 활용 프로그램을 통한 미래교육 프로그램 개발)

  • Lee Min-hye
    • Journal of the International Relations & Interdisciplinary Education
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    • v.2 no.2
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    • pp.81-95
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    • 2022
  • The core of this study is to develop an edutech utilization program to be applied to 5th grade students by utilizing school curriculum time, and the conclusions based on the results of the study are as follows. First, for the development of future educational programs using edutech, a content preference survey was conducted and significant responses were confirmed from 27 teachers and 216 students, excluding missing values. In the future education implementation, UCC (video shooting, editing, etc.) and work activities (3D pen, 3D printer, etc.) were selected based on the need for separate edtech devices. Second, in order to develop a future education program using edutech, the future education class module was set in 4 stages based on previous research. First of all, in Make a foundation, theories by subject are developed, and in Open an activity, future education experience activities using key edutech are developed. In Organize evaluation, individual self-evaluation was conducted, and based on this, customized in-depth supplementary activities were conducted in Act individually. Third, in order for future education programs using edutech to be organized in the regular curriculum, sufficient connectivity with the curriculum must be secured. The basis for systematic and stable research was prepared by analyzing the curriculum of the 5th grade subject of the study and securing hours in connection with creative experiential activities. The data developed through this process were modified and supplemented based on the content validity test. The fact that the program application and verification steps were not performed is a limitation of this study, but it is expected that this program will expand the possibility of future education practice in the school field.

Qualitative study on the connection-assemblage of interest area and early childhood (유아와 어린이집 흥미 영역 환경과의 접속-배치에 관한 질적 연구)

  • Yoonmi Kim;Eunju Yun
    • The Journal of the Convergence on Culture Technology
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    • v.9 no.5
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    • pp.927-934
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    • 2023
  • This study explored the process of how children are connected to and placed in the daycare center's interest area environment. Focusing on the process of getting to know, we tried to understand it through Deleuze's concept of connection-placement, which emphasized the power between materials and humans, to see how the familiar environment called the area of interest affects children's behavior. For this purpose, 20 children in the mixed class aged 4-5 years at B Daycare Center in Seoul were observed for a total of 2 hours each through 2 preliminary observations and 5 research observations from March to May 2023. First, the results of the study showed that infants' true interest could be found in the infant's gaze, not in the adult's gaze. Second, the space and play materials of the interest area environment are structurally arranged in accordance with the order of play types, but the boundaries become ambiguous as they are connected to children. Third, although the children's play seemed to be play without deviating from each area of interest, the space itself was a single mass in which interest was expressed. We hope that this study will help instructors in their practice of constructing an environment for areas of interest, and that we will become instructors who ask questions at every moment about what kind of traces will be left on children's thinking as the environment of space and media.

Development of a Synthetic Method for [68Ga]Ga-FAPI-04 Using a Cassette-based Synthesizer (카세트 기반 자동합성장치를 사용한 [68Ga]Ga-FAPI-04의 합성방법 연구)

  • Jun Young PARK;Won Jun KANG
    • Korean Journal of Clinical Laboratory Science
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    • v.56 no.1
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    • pp.43-51
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    • 2024
  • [68Ga]Ga-FAPI-04 is a promising radiopharmaceutical that binds specifically to fibroblast activation protein, which is overexpressed in more than 90% of malignant epithelial tumors but not in normal healthy tissue. This study aimed to develop an efficient method for producing 68Ga-labelled FAPI-04 using a cassette-based automated synthesizer. [68Ga]GaCl3 was eluted from an Eckert & Ziegler Medical germanium-68/gallium-68 generator using 2.5 mL of 0.1 M HCl. The synthesis of the [68Ga]Ga-FAPI-04 was performed using different concentrations of HEPES (1~2.5 M; 4-(2-hydroxyethyl) piperazine-1-ethanesulfonic acid) in 3~10 minutes; amounts of FAPI-04 precursor (5~50 ㎍) and reaction temperature (25℃~100℃) were optimized on the BIKBox® synthesizer. The labeling efficiency of [68Ga]Ga-FAPI-04 was greater than 96% (decay corrected) using 25 ㎍ FAPI-04 synthesized in 10 minutes at 100℃ in 2 M HEPES (pH 3.85), and its stability was greater than 99% at 6 hours. The total synthesis time of [68Ga]Ga-FAPI-04 was 32.4 minutes, and the product met all quality control criteria. In this study, we developed and optimized a labeling method using [68Ga]Ga-FAPI-04 using a cassette-based synthesizer. The devised method is expected to be useful for supplying [68Ga]Ga-FAPI-04 for diagnosis in clinical practice.